Organization
BRENNA JOY DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA J SWANSON RDN, LRD, CDE (OWNER)
(701) 331-9334
Entity
Organization
Contact information
Practice address
210 HIGHWAY 2 W STE 10, DEVILS LAKE, ND 58301-2913
(701) 331-9334
Mailing address
10282 61ST ST NE, LAWTON, ND 58345-9260
(701) 331-9334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
628
ND
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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